05D0883837 CLIA NUMBER - LAS FLORES CONVALESCENT HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D0883837
  • Facility Name: LAS FLORES CONVALESCENT HOSPITAL
  • Facility Address: 14165 PURCHE AVENUE
    GARDENA, CA
    ZIP 90249
  • Facility Phone: 310 323-4570
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: YULIANOS GAYAUSKAS MD
  • NPI Number: 1942220421
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0883837
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAS FLORES CONVALESCENT HOSPITAL
Street 14165 PURCHE AVENUE
City GARDENA
State CA
ZIP 90249
Phone 310 323-4570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director YULIANOS GAYAUSKAS MD

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This page was last updated on: 9/29/2025